<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
#INCLURE "template/meta_rubrique.html"
#PARAM_FOND_obligenom=1
#PARAM_FOND_obligeprenom=1
</head>

<body class="cms">

<div id="wrapper">
	<div id="subwrapper">
		#INCLURE "template/entete.html"

        <div id="contenuPageRubrique">
							<form action="#VARIABLE(urlsite)/?fond=contact" method="post">
								<input type="hidden" name="action" value="contact" />
									<div class="fieldset">
										<label for="nom">Nom #NOM[<span class="obligaoire">obligatoire</span>]</label>
										<input name="nom" type="text" value="#NOM"/>
									</div>
									<div class="fieldset">
										<label for="prenom">Pr&eacute;nom #PRENOM[<span class="obligaoire">obligatoire</span>]</label>
										<input name="prenom" type="text" value="#PRENOM"/>
									</div>
									<div class="fieldset">
										<label for="email">Mon e-mail #EMAIL[<span class="obligaoire">obligatoire</span>]</label>
										<input name="email" type="text" value="#EMAIL" />
									</div>
									<div class="fieldset">
										<label for="tel">T&eacute;l&eacute;phone #TEL[<span class="obligaoire">obligatoire</span>]</label>
										<input name="tel" type="tel" value="#TEL"/>
									</div>

									<p>Quel est l'objet de votre message ? #SUJET[<span class="obligaoire">obligatoire</span>]</p>
										<input name="sujet" type="text" class="objet" value="#SUJET"/>
									<p>Vos commentaires, suggestions ou questions #MESSAGE[<span class="obligaoire">obligatoire</span>]:</p>
										<textarea name="message" type="message" rows="10" />#MESSAGE</textarea>
									<div class="colonneSubmit">
										<button type="submit" class="boutons valider"><span>Valider</span></button>
									</div>
							</form>	
		</div>
		#INCLURE "template/pied.html"	
	</div>
</div>
<script language="JavaScript" type="text/javascript" src="js/wz_tooltip.js"></script>

</body>
</html>
